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Solving Roman Numeral Conversion Questions for the HESI A2

By Maria Santos, M.Ed. Β· Updated April 18, 2026

Student studying Roman numerals on flashcards for nursing entrance exams
What Roman Numerals do I need to know for the HESI A2?

You must memorize the 7 basic symbols: I (1), V (5), X (10), L (50), C (100), D (500), and M (1000). You must also know the subtraction rule: if a smaller letter sits in front of a larger letter, you subtract it (e.g., IX means 10 - 1 = 9).

If you are pivoting from studying for the TEAS over to the HESI A2, there is one major math topic you must add to your list immediately: Roman Numerals. While the TEAS retired this topic, Elsevier actively includes 2 to 4 Roman numeral conversions on every HESI exam.

These questions are essentially free points. You do not need to do difficult arithmeticβ€”you just need to decode the letters. Review our Ultimate HESI A2 Study Guide to see how missing these "easy" questions can aggressively drop your composite score.

Step 1: Memorize the 7 Letters

Roman numerals do not use place values (tens, hundreds, etc.) like our Arabic numbers do. They simply add symbols together. There are only 7 symbols in the entire system.

I 1
V 5
X 10
L 50
C 100
D 500
M 1000
πŸ’‘ Tutor's Tip: Use this mnemonic to remember the order of the larger values (50, 100, 500, 1000): Little Cows Drink Milk (L, C, D, M). It has saved countless students on test day.

Step 2: The Two Golden Rules

Decoding is easy once you know the two rules of stringing letters together: the Addition rule and the Subtraction rule.

Rule 1: The Addition Rule

If the letters are the same, or if they get smaller as you read Left to Right, you simply add them all together.

  • III = 1 + 1 + 1 = 3
  • XVI = 10 + 5 + 1 = 16
  • CLX = 100 + 50 + 10 = 160

Rule 2: The Subtraction Rule (The HESI Trap)

This is where the HESI will test you. You are never allowed to use four of the same letters in a row. For example, you cannot write 4 as "IIII". You also cannot write 40 as "XXXX".

Instead, if a smaller letter sits directly in front of a larger letter, it means you subtract the smaller one from the larger one.

  • IV: I (1) is in front of V (5). Therefore, 5 - 1 = 4.
  • IX: I (1) is in front of X (10). Therefore, 10 - 1 = 9.
  • XL: X (10) is in front of L (50). Therefore, 50 - 10 = 40.
  • XC: X (10) is in front of C (100). Therefore, 100 - 10 = 90.

πŸ“‹ From the Tutor's Desk

During a tutoring session last week, my student Marcus saw the string "MCMXCIV" and totally panicked. I told him to trace it left to right and aggressively hunt for the subtraction traps. Whenever a small letter hits a big letter, draw a box around it. We boxed "CM" (1000 - 100 = 900), "XC" (100 - 10 = 90), and "IV" (5 - 1 = 4). What was left? Just the 'M' (1000) at the front. He added them up: 1000 + 900 + 90 + 4 = 1994. He went from zero confidence to solving the hardest problem on the test in under 60 seconds.

Check Your Knowledge

Are you ready to box the traps yourself? Take our Free HESI A2 Practice Quiz to drill Roman numeral conversions.

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Frequently Asked Questions

Are Roman numerals on the HESI A2 exam?
Yes, Roman numerals are consistently tested on the HESI A2 Math section, unlike the TEAS exam which recently phased them out. You can expect 2 to 4 conversion questions.
What does the Roman numeral 'L' stand for?
The Roman numeral 'L' stands for 50.
How do you write 9 in Roman numerals?
Nine is written as 'IX'. This uses the subtraction rule: because the smaller numeral (I = 1) is placed before the larger numeral (X = 10), you subtract 1 from 10.
Can I write four I's in a row (IIII) for the number 4?
No. A core rule of Roman numerals is that you never repeat a symbol more than three times in a row. Four must be written using the subtraction rule: IV.

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